Brief Answer:
Kindly send pictures of the affected area.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the pimples Over face, chest and back.

In view to help you best I request you to kindly upload few good resolution pictures of the affected area. For that you have a feature on the right side of the page. or else you can send your pictures at

YYYY@YYYY

With attention " Dr . Sanjay XXXXXXX Kanodia "

Hope to hear soon from your side.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
Acne vulgaris: suggestions and guidance for the same

Detailed Answer:
Hello ,

Welcome again to the forum and thanks a lot for your swift response along with pictures.

I have gone through the pictures sent by you and after thoroughly analyzing the pictures I can make out that you have pimples with pigmentation and marks.

I can understand your concern for pimples. It is really bothersome to have something unwanted present on our face.

Before I proceed to your issue let me explain you elaborately regarding pimples- Pimples or medically known as Acne vulgaris starts appearing at the age of 13-14 years and then reduces by the age of 25-30 years.

The main cause of pimple formation is basically due to hormones (chemicals which are influencing one or other body functions) in addition to the influence of certain other factors causing its aggravation. The hormone plays the most important role in high oil secretion and increase the size of oil glands. As the pores or ducts of the glands are blocked so it leads to formation of pimples.

There are certain other factors such as application of oily or creamy products, over exposure to sunlight, heat and humidity or due to pinching, popping and squeezing of the pimples also leads to formation of pimples. Once these are healing they leave the most problematic thing which are either marks or scars.

Therefore any of the above factors along with hormones can cause appearance of pimples before the age of 25-30 years. After the age of 25 years there is less upsurge in the hormones and these gets stabilized and therefore less appearance of pimples after 25 years. So probably you got some idea regarding your acne.


There are certain best of suggestions which you can follow:

1. Do not pinch, pop or squeeze any area on face.

2. Do not apply any creamy or oily stuff or any other cosmetics over face.

3. Try to avoid any home remedies suggested by your friends or family members or otherwise self implicated therapies also. Most of he times any of the home remedies blocks more of the pores and results in more aggravation of pimples.

4. Do not take steam or steam bath or massage on your face as these also aggravates the pimples.

5. Try avoiding situations of direct continuous exposure to sunlight or heat and humidity for long hours.

6. Kindly do not use any antibiotic as self medication.

7. Do not apply any hair oil on scalp or apply in very less amount. Wash your scalp daily with some good shampoo and let there be no dandruff in your scalp (because dandruff itself causes blockage of pores of oil glands and then pimples).

For the Acne treatment part - I can see both small and large pimples. IN your kind of cases if I were your treating doctor then would prescribed you a combination of Clindamycin with adapalene.

Isotretinoin by mouth is the most important and latest therapy for the long term remission. Isotretinoin is though a wonder drug but always to be used under dermatological guidance. I am surprised to know that you didn't got good relief with this drug. Do let me know your weight, the exact daily dose which you had taken, for how long you took the same.

For the marks -Skin lightening creams are quite helpful. I general prescribe Kojic acid cream or Azelaic acid cream at night time only over the affected area. Apply it in such a thin layer that it should not be visible by naked eye. Do not try to rub it. It is generally diluted with some bland cream to reduce the irritation. So these creams are to be used under dermatological guidance only.

Both acne and its marks need proper management as guided above. The acne and marks treatment application can be used on alternate day basis according to dermatological guidance. I suggest you to meet a proper dermatologist and discuss all the points as suggested above.

Hope this information will help you. If you have any further query I will be happy to help.

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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Brief Answer:
Acne : various suggestions and guidance.

Detailed Answer:
Hello,

Welcome again to the forum and thanks a lot for your follow up.

I am really empathetic to your present acne problem and can make out you different treatments taken for the same.

Regarding the use if isotretinoin- it is the gold standard of treatment of acne and is the best suites medication for the same.

I can make out that you took the treatment for 1 month and that too in inadequate dosage.

Young fellow, it is a rule of life to have adequacy to get results and so is true for your part of treatment too!!!

Isotretinoin is to be taken in the dose of 0.5 to 1 mg per kg body weight and that too to a cumulative dose to reach to particular point to get the results.

It takes minimum 8 to 12 weeks to get the results. You cannot expect any results in 1 month of period. I generally continue the treatment for 3 to 6 months of period.

So to get the results you need to take adequate treatment in proper dosage.

I suggest you to meet a young and experienced dermatologist personally to take care of the problem on it's best.

There are so many of ways of treatments to get early results .

With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY

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